MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Living Will Tattoo

    MunoRN replied to jeastridge's topic in General Nursing

    A "legal document" is not required in any state for a patient to make their DNR wishes known, including Illinois, they only need to make this known through any means. It's disturbing that even if you...
  2. MunoRN

    Living Will Tattoo

    MunoRN replied to jeastridge's topic in General Nursing

    I've had multiple patients with DNR tattoos, some are less clear than this one (one was just a caduceus in a circle with a line through it), one went to an ethics committee that determined it would be...
  3. MunoRN

    Soma or Enclosure Beds... Cruel or not?

    MunoRN replied to Paws2people's topic in Patient, Colleague Relations

    What are the "these facilities" you're referring
  4. MunoRN

    Repealing ACA

    MunoRN replied to OnceMorewithFeeling's topic in Activism, Healthcare

    I have a number of questions about what you would propose instead, but I'll start with this: Your son, assuming he is unable to get pregnant, does not pay for gynecology and obstetric coverage, to...
  5. MunoRN

    Repealing ACA

    MunoRN replied to OnceMorewithFeeling's topic in Activism, Healthcare

    Maybe you could expand on how "government supplemented high risk pools and the free market" and selling insurance across state lines would reduce the overall costs of
  6. MunoRN

    Do you consider it helpful or not to be given a Pt’s attitude during a report?

    MunoRN replied to DesiDani's topic in General Nursing

    How do you feel it makes you
  7. MunoRN

    Concealed Carry...as a nurse?

    MunoRN replied to mcknis's topic in Activism, Healthcare

    I often concealed carry as well, but never at work since statistically that concealed firearm is for more likely to be used for harm rather than to protect people from harm. It's the same reason why...
  8. MunoRN

    Is this normal practice-my unit feels unsafe.

    MunoRN replied to krissyycupcake's topic in General Nursing

    For sepsis in particular the Sepsis 3 guidelines are the most up to date Consensus Definitions for Sepsis and Septic Shock | Critical Care Medicine | JAMA | The JAMA Network It's helpful to understand...
  9. MunoRN

    Is this normal practice-my unit feels unsafe.

    MunoRN replied to krissyycupcake's topic in General Nursing

    Often the easiest way to create a sepsis protocol is just to have check boxes that then produce orders such as the fluid bolus, but this isn't an acceptable way to initiate sepsis interventions and is...
  10. MunoRN

    What do you think of 12 hour shifts

    MunoRN replied to RNattie's topic in General Nursing

    I agree that when working days, 8's is preferable, but when working nights it's more about the number of nights you have to work, rather than how long the shift
  11. MunoRN

    Is this normal practice-my unit feels unsafe.

    MunoRN replied to krissyycupcake's topic in General Nursing

    What you describe actually sounds not all that unusual, and you could argue that 'normal' workloads and patient acuity these days is unsafe, but outside of a teaching hospital I haven't known of...
  12. MunoRN

    DNR Turning Into Do Not Treat?

    MunoRN replied to EllaBella1's topic in General Nursing

    No states have laws that prevent Physicians from declining to prescribe non-beneficial treatments, and actually state laws and regulations generally prohibit physicians from prescribing interventions...
  13. MunoRN

    DNR Turning Into Do Not Treat?

    MunoRN replied to EllaBella1's topic in General Nursing

    It doesn't vary by state and there's not much disagreement on when certain treatments would be futile, there do seem to be regional cultural variations in futile treatment at the end of life. The...
  14. MunoRN

    Do you consider it helpful or not to be given a Pt’s attitude during a report?

    MunoRN replied to DesiDani's topic in General Nursing

    It's not often that the previous nurse's psychosocial assessment and impression of a patient and their family/support system isn't useful, so yes, these are generally things I would find useful to...
  15. MunoRN

    What do you think of 12 hour shifts

    MunoRN replied to RNattie's topic in General Nursing

    Liking 8 hour day shifts better than 12 hour night shifts probably has more to do with the day/night aspect than the 8/12
  16. MunoRN

    DNR Turning Into Do Not Treat?

    MunoRN replied to EllaBella1's topic in General Nursing

    Only DNR orders initiated by the patient can be rescinded, a patient can't reverse a DNR order where the physician found no medical purpose to resuscitation (ie a medical futility
  17. MunoRN

    Duty to inform?

    MunoRN replied to angeloublue22's topic in General Nursing

    My understanding is that registered sex offenders are legally required to notify a facility they are admitted to of their status, and then depending on the level of sex offender the facility is...
  18. MunoRN

    Fall prevention

    MunoRN replied to dontbetachy90's topic in Patient Safety Issues

    Part of the problem might be that you are overusing bed alarms, which may actually increase the incidence of falls. Bed alarms haven't been shown to reduce falls, and in one study the incidence of...
  19. MunoRN

    What do you think of 12 hour shifts

    MunoRN replied to RNattie's topic in General Nursing

    I would agree that people seem to attribute the issues with working nights with 12 hour shifts, in my experience 8 hour nights are far worse than 12 hour nights due to the increase in the number of...
  20. MunoRN

    Vanderbilt CVICU

    MunoRN replied to JD1190's topic in Critical Care

    Vanderbilt has very good critical care units, it's work in the area of ICU delirium for instance is a frontrunner in the US. The pay though is comparable to other areas in the region, it typically...
  21. MunoRN

    Nursing School Needs Repair (And Why I Quit)

    MunoRN replied to Barmherzigkeit's topic in Pre-Nursing Students

    The purpose of nursing school is to prepare you to work in various healthcare settings, and in general these settings are fairly dysfunctional, so a nursing program that familiarizes you with...
  22. MunoRN

    Brain death and refusal to remove life support

    MunoRN replied to Legaltrends's topic in General Nursing

    There is no such thing as "life support" in a dead patient, so there's no quandary about when to remove life support. We often continue to maintain organs in a dead body after brain death, but there...
  23. MunoRN

    What do you think of 12 hour shifts

    MunoRN replied to RNattie's topic in General Nursing

    If the problem is you're not getting enough nights off, I'm not sure why it would help to work 8's instead and get even fewer nights
  24. MunoRN

    Frustrated Patient

    MunoRN replied to jojomarie26's topic in General Nursing

    The answer to whether she could benefit from further testing is why we have physicians and other LIPs, she would need to pursue that with her physician, NP, etc. It's certainly not unusual for...
  25. MunoRN

    A Feminist Approach to the Opioid Epidemic

    MunoRN replied to Issaiah1332's topic in General Nursing

    I think you mean 'maternal' and 'paternal' rather than masculine and feminine, although the patient treatment philosophies you're referring to aren't really as specific to gender as you're making them...